Organization · Type 2 NPI

Wakemed Faculty Practice Plan

Pediatric Critical Care Medicine Physician · Raleigh, NC

NPI number 1013203819 Active

Practice location

3024 New Bern Ave
Raleigh, NC 27610-1247

Call (919) 350-8000 Map

Specialties and licenses

TaxonomyCodeLicense
Neonatal-Perinatal Medicine Physician 2080N0001XNone listed
Pediatric Critical Care Medicine Physician Primary 2080P0203XNone listed
Hospitalist Physician 208M00000XNone listed

Pediatric Critical Care Medicine Physician: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates…

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About NPI 1013203819

Wakemed Faculty Practice Plan's National Provider Identifier is 1013203819, issued on Jun 21, 2011. The primary taxonomy on file is Pediatric Critical Care Medicine Physician (2080P0203X), and the practice location is in Raleigh, NC. The record was last updated on Jul 5, 2011.